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Implementing nurse prescribing: a case study in diabetes.
Karen Stenner1, Nicola Carey, Molly Courtenay
1Division of Health and Social Care, University of Surrey, UK. k.stenner@surrey.ac.uk
Journal of Advanced Nursing
|April 29, 2010
Summary
Nurse prescribing in diabetes services was successfully implemented due to independent prescribing rights, acceptance of the role, and strong support systems. Established nursing roles and high demand facilitated this integration, improving service efficiency.
Area of Science:
- Healthcare Services Research
- Nursing Practice
- Pharmacology
Background:
- Nurse prescribing is implemented to enhance service efficiency, especially when demand exceeds resources.
- Understanding the contextual factors influencing nurse prescribing is crucial due to variations in uptake and use.
- This study examines nurse prescribing within specific healthcare settings.
Purpose of the Study:
- To explore the views of nurses and team members on the implementation of nurse prescribing in diabetes services.
- To identify factors facilitating the integration of nurse prescribing into diabetes care.
- To understand the impact of nurse prescribing on service efficiency.
Main Methods:
- A qualitative case study approach was used across nine practice settings in England.
- Semi-structured interviews were conducted with 31 participants, including nurse prescribers, administrative staff, physicians, and non-nurse prescribers.
- Thematic analysis was applied to the collected qualitative data.
Main Results:
- Nurse prescribing increased following the expansion of independent prescribing rights in 2006.
- Initial implementation challenges were overcome, with few current issues reported.
- Established nursing roles and available support resources facilitated smooth integration.
Conclusions:
- Key factors promoting implementation included independent prescribing ability, role acceptance, and strong interprofessional relationships.
- Organizational and interpersonal support were vital for successful integration.
- Existing nursing roles and increasing service demand in diabetes care created a favorable environment for nurse prescribing.
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